Surgery due to Inflammatory Bowel Disease During Pregnancy:
Mothers and Offspring Outcomes From an ECCO Confer Multicentre
Case Series [Scar Study]

J 2022

Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]

CHAPARRO, Maria, Lumír KUNOVSKÝ, Mariam AGUAS, Moran LIVNE, Pauline RIVIERE et. al.

Basic information

Original name

Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]

Authors

CHAPARRO, Maria (guarantor), Lumír KUNOVSKÝ (203 Czech Republic, belonging to the institution), Mariam AGUAS, Moran LIVNE, Pauline RIVIERE, Ariella Bar-Gil SHITRIT, Par MYRELID, Maite ARROYO, Acosta Manuel BARREIRO-DE, Michelle BAUTISTA, Livia BIANCONE, Irit Avni BIRON, Trine BOYSEN, Daniel CARPIO, Beatriz CASTRO, Gabriele DRAGONI, Pierre ELLUL, Stefan D HOLUBAR, Angel de Jorge MIGUEL, Eduardo LEO, Noemi MANCENIDO, Annick MOENS, Tamas MOLNAR, Ramirez de la Piscina PATRICIA, Petr RICANEK, Ladislava SEBKOVA, Laura SEMPERE, Niels TEICH, Javier P GISBERT and Mette JULSGAARD

Edition

JOURNAL OF CROHNS & COLITIS, OXFORD, OXFORD UNIV PRESS, 2022, 1873-9946

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30219 Gastroenterology and hepatology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 8.000

RIV identification code

RIV/00216224:14110/22:00126644

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1093/ecco-jcc/jjac050

UT WoS

000796675700001

Keywords in English

Inflammatory bowel disease; Crohn's disease; ulcerative colitis; pregnancy; gestation; surgery

Abstract

V originále

Aims i] To evaluate the evolution of pregnancies and offspring after inflammatory bowel disease [IBD] surgery during pregnancy; and ii] to describe the indications, the surgical techniques, and the frequency of caesarean section concomitant with surgery. Methods Patients operated on due to IBD during pregnancy after 1998 were included. Participating clinicians were asked to review their databases to identify cases. Data on patients' demographics, IBD characteristics, medical treatments, IBD activity, pregnancy outcomes, surgery, delivery, and foetal and maternal outcomes, were recorded. Results In all, 44 IBD patients were included, of whom 75% had Crohn's disease; 18% of the surgeries were performed in the first trimester, 55% in the second, and 27% in the third trimester. One patient had complications during surgery, and 27% had postsurgical complications. No patient died. Of deliveries, 70% were carried out by caesarean section. There were 40 newborns alive. There were four miscarriages/stillbirths [one in the first, two in the second, and one in the third trimester]; two occurred during surgery, and another two occurred 2 weeks after surgery; 14% of the surgeries during the second trimester and 64% of those in the third trimester ended up with a simultaneous caesarean section or vaginal delivery. Of the 40 newborns, 61% were premature and 47% had low birth weight; 42% of newborns needed hospitalisation [25% in the intensive care unit]. Conclusions IBD surgery during pregnancy remains an extremely serious situation. Therefore, surgical management should be performed in a multidisciplinary team, involving gastroenterologists, colorectal surgeons, obstetricians, and neonatal specialists.

Citovat

CHAPARRO, Maria, Lumír KUNOVSKÝ, Mariam AGUAS, Moran LIVNE, Pauline RIVIERE, Ariella Bar-Gil SHITRIT, Par MYRELID, Maite ARROYO, Acosta Manuel BARREIRO-DE, Michelle BAUTISTA, Livia BIANCONE, Irit Avni BIRON, Trine BOYSEN, Daniel CARPIO, Beatriz CASTRO, Gabriele DRAGONI, Pierre ELLUL, Stefan D HOLUBAR, Angel de Jorge MIGUEL, Eduardo LEO, Noemi MANCENIDO, Annick MOENS, Tamas MOLNAR, Ramirez de la Piscina PATRICIA, Petr RICANEK, Ladislava SEBKOVA, Laura SEMPERE, Niels TEICH, Javier P GISBERT and Mette JULSGAARD. Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]. JOURNAL OF CROHNS & COLITIS. OXFORD: OXFORD UNIV PRESS, 2022, vol. 16, No 9, p. 1428-1435. ISSN 1873-9946. Available from: https://dx.doi.org/10.1093/ecco-jcc/jjac050.

@article{2217357,
   author = {Chaparro, Maria and Kunovský, Lumír and Aguas, Mariam and Livne, Moran and Riviere, Pauline and Shitrit, Ariella BarandGil and Myrelid, Par and Arroyo, Maite and Barreiroandde, Acosta Manuel and Bautista, Michelle and Biancone, Livia and Biron, Irit Avni and Boysen, Trine and Carpio, Daniel and Castro, Beatriz and Dragoni, Gabriele and Ellul, Pierre and Holubar, Stefan D and Miguel, Angel de Jorge and Leo, Eduardo and Mancenido, Noemi and Moens, Annick and Molnar, Tamas and Patricia, Ramirez de la Piscina and Ricanek, Petr and Sebkova, Ladislava and Sempere, Laura and Teich, Niels and Gisbert, Javier P and Julsgaard, Mette},
   article_location = {OXFORD},
   article_number = {9},
   doi = {http://dx.doi.org/10.1093/ecco-jcc/jjac050},
   keywords = {Inflammatory bowel disease; Crohn's disease; ulcerative colitis; pregnancy; gestation; surgery},
   language = {eng},
   issn = {1873-9946},
   journal = {JOURNAL OF CROHNS & COLITIS},
   title = {Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]},
   url = {https://academic.oup.com/ecco-jcc/article/16/9/1428/6563346},
   volume = {16},
   year = {2022}
}

TY  - JOUR
ID  - 2217357
AU  - Chaparro, Maria - Kunovský, Lumír - Aguas, Mariam - Livne, Moran - Riviere, Pauline - Shitrit, Ariella Bar-Gil - Myrelid, Par - Arroyo, Maite - Barreiro-de, Acosta Manuel - Bautista, Michelle - Biancone, Livia - Biron, Irit Avni - Boysen, Trine - Carpio, Daniel - Castro, Beatriz - Dragoni, Gabriele - Ellul, Pierre - Holubar, Stefan D - Miguel, Angel de Jorge - Leo, Eduardo - Mancenido, Noemi - Moens, Annick - Molnar, Tamas - Patricia, Ramirez de la Piscina - Ricanek, Petr - Sebkova, Ladislava - Sempere, Laura - Teich, Niels - Gisbert, Javier P - Julsgaard, Mette
PY  - 2022
TI  - Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]
JF  - JOURNAL OF CROHNS & COLITIS
VL  - 16
IS  - 9
SP  - 1428-1435
EP  - 1428-1435
PB  - OXFORD UNIV PRESS
SN  - 18739946
KW  - Inflammatory bowel disease
KW  - Crohn's disease
KW  - ulcerative colitis
KW  - pregnancy
KW  - gestation
KW  - surgery
UR  - https://academic.oup.com/ecco-jcc/article/16/9/1428/6563346
N2  - Aims i] To evaluate the evolution of pregnancies and offspring after inflammatory bowel disease [IBD] surgery during pregnancy; and ii] to describe the indications, the surgical techniques, and the frequency of caesarean section concomitant with surgery. Methods Patients operated on due to IBD during pregnancy after 1998 were included. Participating clinicians were asked to review their databases to identify cases. Data on patients' demographics, IBD characteristics, medical treatments, IBD activity, pregnancy outcomes, surgery, delivery, and foetal and maternal outcomes, were recorded. Results In all, 44 IBD patients were included, of whom 75% had Crohn's disease; 18% of the surgeries were performed in the first trimester, 55% in the second, and 27% in the third trimester. One patient had complications during surgery, and 27% had postsurgical complications. No patient died. Of deliveries, 70% were carried out by caesarean section. There were 40 newborns alive. There were four miscarriages/stillbirths [one in the first, two in the second, and one in the third trimester]; two occurred during surgery, and another two occurred 2 weeks after surgery; 14% of the surgeries during the second trimester and 64% of those in the third trimester ended up with a simultaneous caesarean section or vaginal delivery. Of the 40 newborns, 61% were premature and 47% had low birth weight; 42% of newborns needed hospitalisation [25% in the intensive care unit]. Conclusions IBD surgery during pregnancy remains an extremely serious situation. Therefore, surgical management should be performed in a multidisciplinary team, involving gastroenterologists, colorectal surgeons, obstetricians, and neonatal specialists.
ER  -

CHAPARRO, Maria, Lumír KUNOVSKÝ, Mariam AGUAS, Moran LIVNE, Pauline RIVIERE, Ariella Bar-Gil SHITRIT, Par MYRELID, Maite ARROYO, Acosta Manuel BARREIRO-DE, Michelle BAUTISTA, Livia BIANCONE, Irit Avni BIRON, Trine BOYSEN, Daniel CARPIO, Beatriz CASTRO, Gabriele DRAGONI, Pierre ELLUL, Stefan D HOLUBAR, Angel de Jorge MIGUEL, Eduardo LEO, Noemi MANCENIDO, Annick MOENS, Tamas MOLNAR, Ramirez de la Piscina PATRICIA, Petr RICANEK, Ladislava SEBKOVA, Laura SEMPERE, Niels TEICH, Javier P GISBERT and Mette JULSGAARD. Surgery due to Inflammatory Bowel Disease During Pregnancy: Mothers and Offspring Outcomes From an ECCO Confer Multicentre Case Series [Scar Study]. \textit{JOURNAL OF CROHNS \&{} COLITIS}. OXFORD: OXFORD UNIV PRESS, 2022, vol.~16, No~9, p.~1428-1435. ISSN~1873-9946. Available from: https://dx.doi.org/10.1093/ecco-jcc/jjac050.

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